Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Facility		$491.00	$491.00	$491.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $129.08 / $311.08	Professional		$93.23	$129.08	$311.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47,000.00 / $81,499.99 / $94,999.99	Facility		$47,000.00	$81,499.99	$94,999.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.14 / $176.14 / $296.02	Professional		$176.14	$176.14	$296.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.14 / $176.14 / $176.14	Facility		$176.14	$176.14	$176.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.32 / $176.14 / $296.02	Professional		$151.32	$176.14	$296.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $216.45 / $229.60	Facility		$107.22	$216.45	$229.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.72 / $197.68 / $304.11	Professional		$116.72	$197.68	$304.11
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $259.26 / $481.81	Professional		$193.14	$259.26	$481.81